Individual provider Active NPI

Saqib Abdul Razzak, OD

  • Optometrist
  • Cerritos, CA
National Provider Identifier
1982366738
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35027 Issued in CA
Practice address
13031 Destino LN
Cerritos, CA 90703-8606
Phone
(562) 879-4354
NPI assigned
Oct 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35027 CA Primary

Addresses

Primary practice location

13031 Destino LN
Cerritos, CA 90703-8606

Mailing address

13031 Destino LN
Cerritos, CA 90703-8606
Phone (562) 879-4354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260626001546 WA Practitioner - Optometry 3375911860 Practice locations: Lake Stevens, WA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Midwestern University, Chicago College of Osteopathic Med, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

80 Pine St
FL 21
New York, NY 10005-1700

9601 Market PL
Lake Stevens, WA 98258-7949
Phone (562) 879-4354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Saqib Razzak, PLLC Optometrist Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1982366738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13031 DESTINO LN",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038606",
            "telephone_number": "562-879-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13031 DESTINO LN",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038606",
            "telephone_number": "562-879-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZZAK",
        "first_name": "SAQIB",
        "middle_name": "ABDUL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.